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Amelia Madison Elling

Student in an Organized Health Care Education/Training Program in Louisville, KY. Individual provider (NPI-1).

NPI number1013661370
StatusActive
Last updated in NPPESFeb 7, 2022

Details

NPI
1013661370
Entity type
Individual (NPI-1)
Name
Amelia Madison Elling
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 7, 2022
Certification date
Feb 7, 2022
Last updated
Feb 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

2210 Sherwood Avenue
Louisville, KY 40205-1116

Phone 502-741-0273

Mailing address

2210 Sherwood Avenue
Louisville, KY 40205-1116

Phone 502-741-0273

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